Individual
MRS. JENNIFER M LASEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 573-3886
Mailing address
1508 W YAKIMA AVE, YAKIMA, WA 98902-2951
(513) 550-2729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60302251
WA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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